• Member Application


  • Thank you for your interest in becoming a VMIAC member and being part of our community. 

    Membership is free. Participation is always optional and on your terms. It can be visible or anonymous, regular or occasional.

    Please note: the membership approval process can take up to 8 weeks. 

    This form takes approximately 5 – 10 minutes to complete

     

    Privacy

    This web form requests personal information. All information you provide to VMIAC will be kept securely in accordance with the VMIAC Privacy Policy, the Privacy Act 1988 and the Health Records Act 2001.

     

  • Section 1: Contact Information

    We collect this information so we can communicate with you and meet our obligations as an incorporated association.
  • Preferred Pronouns?*

  • Guidance: Date of Birth

    VMIAC requires members' date of birth for child safety reasons. If you do not wish to provide your full date of birth, you may enter "1 January" and your birth year.

  • Date of Birth*
     / /

  • Guidance: E-mail

    Member notices and newsletters are sent via e-mail. Please provide an e-mail address that you can access permanently.

    Work e-mail addresses are not recommended as you may not be able to access your e-mail when you change employers.


  • Guidance: Phone Number

    Our primary method of communication with members is email. However, on some occasions we may need to contact members by phone for urgent matters or when a timely response is required.

    If you prefer not to be contacted by phone, please enter 0000 000 000 as your phone number.

    By choosing this option, you acknowledge that you may miss important information related to your membership. In some circumstances, if we are unable to reach you by email and you have opted out of phone contact, this may affect your membership.

  • Format: 0000 000 000.
  • What is your preferred form of contact?*

  • Guidance: Address

    Members are required to provide VMIAC with a postal address per the Associations Incorporation Reform Act 2012.

    A PO Box is acceptable. If you are experiencing special circumstances (e.g. domestic violence), you may be eligible for free PO Box access. More information is available on the Australia Post website.

  • Section 2: Membership Type

    Select below which membership better suit you.
  • Select your Membership type:*

  • More information on the differences between Lived Experience and Associate membership is available on the VMIAC website at vmiac.org.au/vmiac-membership.

  • VMIAC Consumer Register

    People choosing to become a Lived Experience Member are eligible to join the VMIAC Consumer Register. 

    Once on our consumer register, you can use your lived experience to help shape mental health policy and services in Victoria – and get paid for it. When organisations, government departments or researchers are seeking consumer input, we connect them with people on our register who have relevant experience.

    By joining, you can ensure lived experience is central in decision-making, build your advocacy skills and connect with our network of consumers across Victoria. 

    Note: those choosing to become an Associate Member cannot join our consumer register, this opportunity is only available to Lived Experience Members. 

    Read more via our website.

  • Would you like to be part of our Consumer Register?*

  • Section 2.1: Consumer Register Expression of Interest

  • Purpose Statement


    This form collects information from individuals who wish to express their interest in joining the VMIAC Consumer Register. The information you provide will help us understand your experiences, interests, and preferences so we can connect you with relevant research, consultation, and engagement opportunities.

  • Participation in Consumer Register opportunities

    Opportunities provided through the consumer register may involve sharing your personal experiences - in a private or group setting - including your own use of services or experiences you have witnessed. This sharing helps inform and influence how services are designed and delivered in the future.

    Some discussions may involve sensitive topics, and participants may have different views, which can lead to respectful discussion or disagreement.

    VMIAC will provide appropriate support during these activities, including access to peer support where possible.

  • Are you comfortable moving forward?*

  • Note

    As you selected “No,” you will be redirected back to the Lived Experience Membership form.

    If your circumstances change or you feel ready to participate in the consumer register in the future, please don’t hesitate to contact us at membership@vmiac.org.au.

     

     

  • Section 2.2: Consumer Register Information

  • 1. Which of the following Private Services or experiences have you used or been involved with? (Select all that apply)*
  • 2. Which of the following Public Adult Services or experiences have you used or been involved with? (Select all that apply)*
  • 3. Select all Adult Inpatient that apply*
  • 4. Which of the following Youth Public services have you used or been involved with? (Select all that apply)*
  • 7. Do you have an advance statement of preferences (a document that outlines your wishes for treatment and support if you become unwell)?*
  • 8. Do you have a nominated person?*
  • 9. Are you a lived/living experience worker (LLEW)?*

  • Section 3: Membership Participation Preferences

    You decide how you'd like to engage. You can update your preferences at any time by emailing us at membership@vmiac.org.au
  • Please indicate your preference for receiving official member notices. Please note that member newsletters can only be sent via e-mail.*
  • Contact me about:

  • Section 4: Tell us more about yourself

    We are committed to representing the diversity of people with lived and living experience across Victoria.
  • Are you of Aboriginal or Torres Strait Islander origin?*
  • Do you identify as:*
  • Do you speak a language other than English at home?*
  • Do you identify as LGBTQIA+?*
  • Are you neurodivergent?*
  • Are you living with a disability (other than a psychosocial disability)?*
  • Are you a lived/living experience (LLE) worker?*
  • 0/100
  • 0/100
  • How did you hear about VMIAC?*

  • Section 5: Membership agreements

    VMIAC is regulated by its Rules and guided by its Code of Conduct

  • Member Declaration

    • I wish to become a member of VMIAC;
    • I support the purposes of VMIAC;
    • I aknowledge the Privacy Policy; and
    • I have read and agree to comply with VMIAC Rules and Code of Conduct.

  • Privacy


    This web form requests personal information. All information you provide to VMIAC will be kept securely in accordance with the VMIAC Privacy Policy, the Privacy Act 1988 and the Health Records Act 2001.

    Your information is stored securely and in accordance with privacy legislation. You may request access to or delete your information at any time by contacting VMIAC at membership@vmiac.org.au .



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